郑宇娟;赵华;王晓云;郭明媚;侯永超;邢雁芬;

• 1:山西中医药大学护理学院
• 2:山西省人民医院内分泌科
• 3:山西省人民医院心内科
• 4:山西省人民医院急诊科

摘要：

目的 探讨冠心病患者经皮冠状动脉介入治疗（PCI）术后运动恐惧现况并分析其影响因素。方法采用便利抽样法，选取231例PCI术后患者为研究对象，采取自我报告形式调查患者社会人口学、心脏病运动恐惧、运动自我效能、自我感受负担等信息。结果 PCI术后患者运动恐惧总得分为（38.1±6.1）分，多元线性回归结果显示，患者对PCI术了解程度、支架个数、运动自我效能、自我感受负担是影响运动恐惧的主要影响因素（P<0.05），可解释运动恐惧水平38.7%的变异量。结论 PCI术后患者运动恐惧处于较高水平，可通过构建个性化的心理干预和知识培训，以激发患者的运动自我效能，提高其疾病知识及心理调适水平，从而促进患者的运动康复。

关键词： 冠心病;运动恐惧;影响因素;经皮冠状动脉介入

Abstract: Objective To investigate the status of kinesiophobia in patients with coronary heart disease after percutaneous transluminal coronary intervention(PCI) and analyze its influencing factors. Methods A total of 231patients after PCI were selected as subjects by convenience sampling, and the information of sociodemographic, heart disease, exercise fear, exercise self-efficacy, self-perceived burden and so on were investigated by self-report. Results The total score of exercise fear after PCI was(38.1±6.1). The results of multiple linear regression showed that patients′understanding of PCI, number of stents, exercise self-efficacy and self-perceived burden were the main influencing factors(P<0.05), which could explain 38.7% variation of exercise fear level. Conclusion The kinesiophobia in patients after PCI is at a high level. Individualized psychological intervention and knowledge training can be constructed to stimulate the exercise self-efficacy of patients, improve their disease knowledge and psychological adjustment level, so as to promote the exercise rehabilitation of patients.

Keywords: Coronary heart disease;Kinesiophobia;Influencing factors;Percutaneous coronary intervention

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参考文献：

• [1]张蒙．护理结局分类系统在冠心病住院患者健康教育中的应用研究[D]．太原：山西医科大学，2020.
• [2]胡盛寿，高润霖，刘力生，等.《中国心血管病报告2018》概要[J]．中国循环杂志，2019,34(3):209-220.
• [3]国家卫生和计划生育委员会.中国卫生和计划生育统计年鉴2017[M]．北京：中国协和医科大学出版社，2017:126-128.
• [4]陈纪言，陈韵岱，韩雅玲，等．经皮冠状动脉介入治疗术后运动康复专家共识[J]．中国介入心脏病学杂志，2016,24(7):361-369.
• [5] Leon AS,Franklin BA,Costa F,et al. Cardiac rehabilitation and secondary prevention of coronary heart disease:an American heart association scientific statement from the council on clinical cardiology(subcommittee on exercise, cardiac rehabilitation, and prevention)and the council on nutrition, physical activity, and metabolism(subcommittee on physical activity),incollaboration with the American association of cardiovascular and pulmonary rehabilitation[J]. Circulation, 2005, 111(3):369-376
• [6] Kori SH. Kinesiophobia:a new view of chronic pain behaviour[J]. Pain Manag,1990,3(1):35-43.
• [7]刘婷阳，邓桂元，赖娟．冠心病支架植入术后患者运动恐惧调查及影响因素分析[J]．齐鲁护理杂志，2020,26(8):109-112.
• [8]雷梦杰，刘婷婷，熊司琦，等．心脏病患者运动恐惧量表的汉化及信度效度检验[J]．中国护理管理，2019, 19(11):1637-1642.
• [9] Lee LL,Perng SJ,Ho CC,et al. A preliminary reliability and validity study of the Chinese version of the self-efficacy for exercise scale for older adults[J]. Int J Nurs Stud,2009,46(2):230-238.
• [10]武燕燕，姜亚芳．癌症患者自我感受负担的调查与分析[J]．护理管理杂志，2010,10(6):405-407.
• [11]张秀婷．基于恐惧-回避模型的慢性心衰患者活动恐惧现状及影响因素研究[D]．济南：山东大学，2020.
• [12] Gunn AH,Schwartz TA,Arbeeva LS,et al. Fear of movement and associated factors among adults with symptomatic knee osteoarthritis[J]. Arthrit Care Res,2017,69(12):1826-1833.
• [13] Larsson C,Ekvall HE,Sundquist K,et al. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain[J]. BMC Geriatr, 2016, 16(1):1-7.
• [14]孙苗苗．中青年冠心病患者恐动症、自我感受负担及生活质量的相关性研究[D]．延安：延安大学，2019.
• [15] Back M, Lundberg M, Cider A, et al. Relevance of kinesiophobia in relation to changes over time among patients after an a-cute coronary artery disease event[J]. J Cardiopulm Rehabil Prev,2018,38(4):224-230.